Sleepless Doctor

Soon, the phone vibrated, and Shi Zhonghua sent the patient's medical records.

Wu Mian turned on the phone and smiled bitterly. After all, Shi Zhonghua is not a doctor, and he has no idea what is important and what is unimportant in the description of the medical record.

He had a photocopy of the hospitalized medical record, but one page was lost, and he sent it all to himself. Some unnecessary information was also sent over.

Wu Mian watched it while Shi Zhonghua posted it. With Wu Mian's hand speed, he watched it for nearly 10 minutes before finishing it.

"Secretary Shi is also very concerned." Chu Zhixi said, "Brother, what's the situation."

"The patient has a problem." Wu Mian said with a serious cell phone while flipping through the test sheet.

"Huh? Isn't it diagnosed?"

"It is not a confirmed diagnosis, it is a suspicion. The patient underwent colonoscopy twice, saw a tumor, and took a pathological biopsy, but no cancer cells were seen. Moreover, the patient's CA125 was elevated. The cancer hospital diagnosed colon cancer with a question mark behind it. ."

The diagnostic tape "?" is a diagnostic method that doctors are highly suspicious, but are not supported by objective test results.

"Oh, then you go take a look." Chu Zhixi did not continue to ask, holding the phone and chatting with Zhang Lan. Wu Mian looked up and saw that the two of them were talking in great interest. Chu Zhixi occasionally gestured in front of him, like talking about the size of the clothes.

Fortunately, Wu Mian smiled.

If I change myself to sit here, I don't really have much to say to my mother. In the future, it would be nice if the girl could give birth to a little girl, but don't want a son, it's not useful. When it comes to caring for the elderly, you have to be a girl.

Wu Mian thought to herself, got up and left the ward.

The medical records sent by Shi Zhonghua were interesting, and Wu Mian pondered as he walked.

The patient was a 26-year-old female. Two years ago, she suddenly developed unexplained intermittent and dull pain in the left lower abdomen. The abdominal pain intensified during defecation, and the mass in the left lower abdomen could be touched, and the mass disappeared after defecation.

If you just look at these, most people will think it is a **** mass, and the patient's medical record also describes what the patient thought at the time. But there is another suspicious point? The patient emphasized that the stool is not formed.

Did she not pay attention at the time? It was just a small problem with a bad intestine.

Six months ago, the patient suddenly began to have intermittent blood in the stool? Go to the Provincial Cancer Hospital for examination? The tumor marker CA125 is elevated. Colonoscopy shows that the sigmoid colon is obviously stenosis? Endoscopy has been unable to pass, and sigmoid colon cancer is highly suspected.

Elevated tumor markers? Typical stenosis seen by endoscopy? No wonder the doctors at the cancer hospital would judge it to be colon cancer. The intestinal cavity is blocked like this, what else can it be if it is not cancer.

But what is strange is that when the tumor hospital saw the tumor for the first time, it did a needle biopsy, and the pathology reported no tumor cells.

So a big tumor, the diameter should be 3cm-5cm? Didn't even take out the tumor tissue? ! Wu Mian didn't believe it.

But is this an objective fact? When the disease progresses to this point, it can only be judged as a false negative. After all, if the puncture needle goes in for a biopsy of the pathological tissue, it is very likely that it will only penetrate the normal tissue.

All clinical test evidence points to colon cancer, even if the pathological examination is negative, the diagnosis is still the same? At most, add a "?" at the end.

But Wu Mian lowered his head, recalling the course of the illness written in the medical record again and again? Something was always wrong.

What is wrong? Wu Mian couldn't tell.

The colonoscopy has seen the mass. The mass is very large? The colonoscopy cannot pass smoothly.

What this situation means Wu Mian is very clear, and the tumor marker CA125 rises simultaneously? It is said that there should not be any problems with the diagnosis of the Provincial Cancer Hospital.

But Wu Mian just felt something was wrong.

Wu Mian lowered his head? Walked out of Jianxie Hospital quickly? Someone came up on him, "Section Chief Wu."

"Oh?" Wu Mian looked up and smiled when he saw that it was Wei Dabao.

"I finished the matter, Wang Chengfa finally bowed and admitted his mistake with a black face." Wei Dabao said briefly.

"Oh, trouble." Wu Mian said.

Seeing him absent-mindedly greet him, Wei Dabao continued to move forward. He didn't even want to stay and say a few words to himself, so he couldn't help but startled.

"Chief Wu, where is the film?" Wei Dabao had nothing to say.

"Give it to me, I'll put it in the car." Wu Mian said.

"You are..."

"There is a public servant in the district who diagnoses colon cancer and wants to jump off the building." Wu Mian said, "I think something is wrong. Go and see the situation."

"Is the diagnosis clear?" Wei Dabao guessed that as long as he talked about the patient's condition, Section Chief Wu would not push himself away, so he leaned forward and asked.

"The colonoscopy saw the tumor very clear, and the pathology was taken by a needle biopsy." Wu Mian said as he walked, "but the pathological examination was negative."

"The pathology can still be trusted." Wei Dabao said contemptuously.

"Oh? Why do you say that?" Wu Mian asked.

"Chairman Wu, let me tell you something." Wei Dabao began to gossip, "I used to not work in the emergency department, but in the upstairs ward. Some patients with advanced lung cancer or other cancers metastasized to the thoracic cavity, causing a lot of pleural fluid. Take it. It's just hospice care, and you can't let the patient die without using any medicine at home."

"Well, indeed." Wu Mian nodded.

"And the country folks are particular about this place...not country folks, and the city folks are the same." Wei Dabao continued, "Many people usually don't show filial piety. When the last time comes, all those filial piety will come up and be shown to others. Those who went to the hospital were still good, many of them were suffocated to death at home and then buried in the beautiful scenery."

"Sec. Chief Wu, you said that you are not honorable when you are alive, and you can't see the beautiful scenery. Isn't it for the living." Wei Dabao habitually nagged a few words.

"Say something." Wu Mian said solemnly.

This kind of thing has been seen a lot, UU reading www.uukanshu.com has long been familiar with it, and Wei Dabao's words are a bit verbose.

"Yeah, yeah." Wei Dabao replied repeatedly, "The patient has a large amount of pleural effusion. Our Bajingzi Hospital of Traditional Chinese Medicine does not have a thoracic bottle. We can only do thoracic puncture and extract the pleural fluid. If you take it out, you will feel comfortable when you breathe. Two days, a short one can be comfortable for one or two hours."

"Well, later."

"Isn't there a document in the past few years? All the tissues that have been taken out must undergo pathological examination." Wei Dabao said, "The pleural fluid taken out of the chest cavity must also be done."

"Exfoliated cells should be checked," Wu Mian said.

"You think it should be, but within half a year, I sent 10 specimens of patients with terminal cancer. The pathology department of our hospital couldn't find out anything." Wei Dabao said.

"Haha." Wu Mian smiled, but didn't say much.

"Later, a family member of the patient asked me what the disease was, and don't let the elderly go unclear. I asked them to take the pleural fluid to the provincial city for examination, and the result was positive."

"Chief Wu, you say you are not angry!" Wei Dabao said.